St Carmen Health Providers, Inc.
A hospice in Glendora, California 91740
2030 E Route 66, Suite 200, Glendora, California 91740. (626) 335-2167.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 8 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
8 deficiencies cited in the last three years
The middle of the 121 hospices serving ZIP code 91740 had 6.
The last inspection on record was on Apr 10, 2025: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
8 deficiencies in 1 month of the last 36. Last cited Apr 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Apr 10, 2025: reaccreditation inspection by The Joint Commission8 deficiencies
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Plan Based on All Hazards Risk Assessment (42 CFR 418.113(a)(1))
“Observed in Emergency Management Session. The organization’s hazard vulnerability analysis did not include the required components since the organization had not conducted a hazard vulnerability analysis for 2024 or 2025. This was confirmed with the Administrator during the Leadership session when we discussed Emergency Management. Observed in Emergency Management Session. The organization had not conducted a hazard vulnerability analysis for 2024 or 2025. This was confirmed with the Administrator during the Leadership session when we discussed Emergency Management.”
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Plan Based on All Hazards Risk Assessment (42 CFR 418.113(a)(2))
“Observed in Emergency Management Session. The surveyor observed the organization did not use its prioritized hazards from the HVA to identify and implement mitigation and preparedness actions. Observed in Emergency Management Session. The surveyor noted the organization did not perform an HVA and therefore was unable to prioritize their HVA findings based on the analysis.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 111 words
“Observed in Record Review. In 1 out of 7 patient records, the plan of care was not updated to include changes to the patient condition, interventions and measurable outcomes. Example: In RRNHV#1, the patient experienced a change in their GI status on days 6 and 7 after admission to hospice services with med changes noted. There was no update to the plan of care to address interventions and goals related to the change in GI status The nursing visit documentation for the visits on days 6 and 7 to address these changes had not been entered into the electronic medical record. This was confirmed with the Director of Patient Care Services.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 109 words
“Observed in Record Review. In 1 out of 2 record reviews, the nursing assistant did not follow the ordered frequency of visits. Example: RRHV#3, the aide visit frequency made for benefit period #2 in weeks # 1, 2 and 3 was 1 visit per week. The frequency was ordered for 2 times per week. The frequency did change to 1W1 during week 4 of the benefit period. This was confirmed with the Director of Patient Care Services who relates the missed visits to a communication breakdown between what the patient wanted and who was scheduled. There was no documentation in the system related to why the visits were missed.”
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Program data (42 CFR 418.58(b)(2)(i))
“Observed in Tracer Activities. During review of QAPI data from 2024 and 2025, the Director of Patient Care Services confirmed that chart audits for PIPs related to missing POC updates and Patients without Mortuaries had not been collected since Q3 of 2024. Their timeframes for collection was monthly until they had achieved their target goals. The targets had not been achieved.”
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Prevention (42 CFR 418.60(a))
“Observed in Patient Home. Staff fingernails were not in compliance with standard precautions and organizational policy as evidenced by: In HV#1, staff had artificial fingernails, which were prohibited by HCO policy.”
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Training (42 CFR 418.100(g)(3))
“Observed in Tracer Activities. 3 out of 3 Volunteer staff did not participate in ongoing education and training provided to agency staff. Examples: Volunteers were not included in staff training for Hand Hygiene training competency validation and the agency’s annual emergency management drill. This was confirmed by the Volunteer Coordinator and Administrator.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 92 words
“Observed in Record Review. In 1 out of 7 hospice records, the organization did not have complete patient records. Example in RRNHV#1, the 2nd and 3rd Nursing visit notes had not been completed in the EMR. The visits were created but without visit content to include assessment and interventions. New medications had been ordered on each day of the unplanned and planned visits. However, agency is unable to determine the effectiveness of the changes due to the absence of the nursing documentation. This was confirmed with the Director of Patient Care Services.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 10, 2025 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 19, 2015.
- Ownership: for-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 13.3 nurse care minutes per routine home care day, 12.6% of skilled nursing minutes at weekends and a visit near death for 98.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 78% at home, 22% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.3 min |
| Skilled nursing minutes at weekends | 12.6% |
| Visits near death | 98.2% of patients who died |
Who owns it?
- CMS’s ownership file has no owners listed for this hospice.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 92.86% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 63.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 121 hospices CMS’s data show serving patients in ZIP code 91740, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 8.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| San Gabriel Hospice | 9 |
| Kairos Hospice, Incorporation | Not given |
| Care Unlimited Hospice Services, Inc. | Not given |
| St Carmen Health Providers, Inc. This hospice | 8 |
| New Madison Hospice and Palliative Care, Inc. | 4 |
| Devoted Hospice Care Inc. | 1 |
| Capital Hospice Services | 1 |
| Graceful Hospice Care Inc. | 7 |
| Alpha Hospice Services, Inc. | Not given |
| Silver Stone Hospice Inc. | Not given |
| Community Care Hospice | 11 |
| Kaiser Foundation Hospital Hospice Program | 3 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.